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Entry Form - USA Powerlifting

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31 st ANNUAL<br />

<strong>USA</strong> POWERLIFTING<br />

WOMENS YOUTH, TEENAGE, JUNIOR, OPEN AND MASTERS<br />

NATIONAL POWERLIFTING CHAMPIONSHIPS<br />

May 18-19, 2013<br />

Official Sub-Junior, Junior, Open and Masters <strong>USA</strong> Team Qualifier<br />

Lifter Bio <strong>Form</strong><br />

Name<br />

Wt Class<br />

Hometown<br />

Division(s)<br />

Occupation:<br />

Age<br />

Best Lifts:<br />

(in pounds) Squat: Bench: Deadlift: Total:<br />

What is your goal for this meet<br />

Notable PL Achievements/Titles<br />

Fun Fact about you and<br />

Live Stream Shout out<br />

Message!

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